Revised. January 10. 2011 Phase # 16-000 Trade: Electrical Invoice #: Requisition #1 Insurance expiration: 5/14/11 Payment Partial Final X Invoice/Req.* Date C/O Amount Relainage Due Paid Date Paid Check# Balance Contract 12/16/10 23.75000 CO111 CO#2 CO#3 CO#4 CO#5 l Requisition #1